Formulas · Purge Downward 瀉下 · Uihak Jeongjeon (醫學正傳)

Jade Candle Powder

Okchok-san

한글 옥촉산 (옹저) · Pinyin Yu Zhu San

玉燭散

The Bogam carries two leaves called 玉燭散 and they are close: the Womb chapter's 丹心 formula, registered as okchok-san, is 當歸ㆍ白芍藥ㆍ川芎ㆍ熟地黃ㆍ大黃ㆍ芒硝ㆍ甘草, all seven at 1 don, for 月候凝滯不通. This leaf is the 正傳 formula from the 便癰 section, with raw rehmannia for cooked, red peony for white, and the rhubarb and mirabilite doubled to 2 don, for 便毒腫痛. Same skeleton, different drugs in two of seven places, different weights, different source and a different indication, so it is registered separately. The transcription writes 偏毒 for the section's 便毒; see the note on Sodok-eum. The collation line reading 王 against the 初刊本's 干 falls at the foot of this leaf's span in the transcription, at the page boundary before [004a], but the word it annotates is the 射王 of Sobang-san two leaves earlier on the same page, not anything in this leaf.

Composition 構成

Daehwang Da Huang
大黃 대황 · Rhubarb

8 g
Chief 君
Mangcho Mang Xiao
芒硝 망초 · Mirabilite

8 g
Chief 君
Cheongung Chuan Xiong
川芎 천궁 · Cnidium

4 g
Deputy 臣
Danggwi Dang Gui
當歸 당귀 · Korean Angelica

4 g
Deputy 臣
Jeokjagyak Chi Shao
赤芍藥 적작약 · Red Peony

4 g
Deputy 臣
Saengjihwang Sheng Di Huang
生地黃 생지황 · Raw Rehmannia

4 g
Deputy 臣
Gamcho Gan Cao
甘草 감초 · Licorice

4 g
Envoy 使

Total 36 g per packet (첩) · representative dosage — verify against source texts.

Received this formula from your practitioner? Amounts shown here are classical reference values — granule and prepared products differ. Always follow your prescribed dosage and directions.

Actions 效能

Treats 便毒 with swelling and pain
Cools the blood and purges the bound heat out through the bowel
Taken on an empty stomach

Indications 主治

Pattern-based

便毒腫痛 — groin toxin with swelling and pain
Heat and blood bound in the lower body

Biomedical correlates

Suppurative inguinal lymphadenitis (bubo) with constipation
Inguinal abscess with surrounding inflammation

Source text 原文

Donguibogam 東醫寶鑑

治偏毒腫痛. 大黃ㆍ芒硝各二錢, 川芎ㆍ當歸ㆍ赤芍藥ㆍ生地黃ㆍ甘草各一錢. 右剉, 作一貼, 水煎, 空心服. 《正傳》

Translation

Treats groin toxin with swelling and pain. Rhubarb and mirabilite, 2 don each; cnidium, Korean angelica, red peony, raw rehmannia and licorice, 1 don each. Cut the above, make one packet, decoct in water and take on an empty stomach. — Jeongjeon 正傳 (Donguibogam · Ongjeo)

Clinical commentary 臨床

Samul-tang and the purging pair joined in one packet, as the Womb chapter's formula of the same name is — but every substitution in this version runs the same way. Cooked rehmannia becomes raw, white peony becomes red, and rhubarb with mirabilite doubles to 2 don apiece. That turns a formula which nourishes blood while it purges into one which cools and moves blood while it purges harder, which is what a hot swollen groin wants and what a blocked menses does not. The name is from the Erya's phrase for the four seasons in harmony, 四氣和謂之玉燭, and belongs properly to the gynaecological formula; the surgical chapter has borrowed it along with the architecture. The lesion is the same as the other 便癰 formulas: a hot, swollen, painful node in the groin. This is the version for the patient who is bound as well as hot, with the purge carrying the weight. **Contains rhubarb and mirabilite. Contraindicated in pregnancy, and not to be used where the stool is already loose. An inguinal abscess that has pointed needs drainage, and a bubo following a genital ulcer needs testing for sexually transmitted infection.** — Eui Young (Justin) Chung, L.Ac., Dipl. O.M.